Provider Demographics
NPI:1063731842
Name:AM CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:AM CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-535-6768
Mailing Address - Street 1:PO BOX 3543
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:MT
Mailing Address - Zip Code:59457-3543
Mailing Address - Country:US
Mailing Address - Phone:406-535-6768
Mailing Address - Fax:406-535-6768
Practice Address - Street 1:618 W MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:LEWISTOWN
Practice Address - State:MT
Practice Address - Zip Code:59457-2573
Practice Address - Country:US
Practice Address - Phone:406-535-6768
Practice Address - Fax:406-535-6768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty